Active NPI
Luis E Barbosa Texidor, OD
- Optometrist
- Naranjito, PR
National Provider Identifier
1508840422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 603
- Practice address
- Carr 164 KM 7.7
C. Comercial Jardines de Naranjito, Local 1
Naranjito, PR 00719 - Phone
- (787) 869-4600
- Fax
- (787) 869-4600
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Naranjito, PR
- NPI 1134827876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040626000470 | PR | Practitioner - Optometry | 3072599315 | Practice locations: Naranjito, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Visual Dr Luis Barbosa Corp | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 603 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Carr 164 KM 7.7
C. Comercial Jardines de Naranjito, Local 1
Naranjito, PR 00719
Mailing address
PO Box 61
Dorado, PR 00646-0061
Phone (787) 869-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2023.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1508840422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61",
"city": "DORADO",
"state": "PR",
"postal_code": "006460061",
"telephone_number": "787-869-4600",
"fax_number": "787-869-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 164 KM 7.7",
"address_2": "C. COMERCIAL JARDINES DE NARANJITO, LOCAL 1",
"city": "NARANJITO",
"state": "PR",
"postal_code": "00719",
"telephone_number": "787-869-4600",
"fax_number": "787-869-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOSA TEXIDOR",
"first_name": "LUIS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2023-02-23",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naranjito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.